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Individual

JULIE M ZAVALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
9197 GRANT ST, SUITE 100, THORNTON, CO 80229-4361
(303) 869-2173
(303) 962-1515
Mailing address
9197 GRANT ST, SUITE 100, THORNTON, CO 80229-4361
(303) 869-2173
(303) 962-1515

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
123035
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123035
STATE LICENSE
CO
05
13202847
CO
Enumeration date
10/02/2008
Last updated
10/18/2012
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